go back

Wisconsin rates for HCPCS Q4024

Cast supplies, short arm splint, pediatric (0-10 years), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $4.42 / $4.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $7.04 / $30.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $7.61 / $12.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.61 / $8.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $16.29 / $16.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.73 / $24.22 / $32.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $11.25 / $14.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $6.27 / $7.99
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $7.61 / $12.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $6.27 / $14.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.30 / $41.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.41 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $6.27 / $7.99
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $7.61 / $12.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $11.42 / $20.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.45 / $17.13 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $33.44 / $148.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $7.61 / $7.61
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $7.61 / $20.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.80 / $6.33